Individual
RENEL ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
639 E 18TH ST, PATERSON, NJ 07501-2184
(973) 925-8885
Mailing address
639 E 18TH ST, PATERSON, NJ 07501-2184
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07904800
NJ
Other
Enumeration date
05/03/2023
Last updated
05/10/2023
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